The Vitality of Mortality: Being-Toward-Death and Long-Term Cancer Survivorship

2020 ◽  
Vol 45 (6) ◽  
pp. 703-724 ◽  
Author(s):  
Jeanette Bresson Ladegaard Knox
Keyword(s):  
Cancer Survivorship ◽  
Dynamic Component ◽  
Life Threatening ◽  
The Difference ◽  
Depth Interviews ◽  
Modes Of Existence ◽  
Ontological Aspect ◽  
Term Survivor

Abstract Long-term cancer survivorship is an emerging field that focuses on physical late-effects and psychosocial implications for the inflicted. This study wishes to cast light on the underlying ontological aspect of long-term survivorship by philosophically exploring how being in life post cancer is perceived by survivors. Sixteen in-depth interviews with 14 Danish cancer survivors were conducted by the author. Having faced a life-threatening disease but no longer being in imminent danger of dying, survivors still considered death a defining yet dynamic component in their approach to life as a moving toward the end, sparking a sense of vitality in mortality. In order to unfold the interviewees’ renewed existential understanding post cancer, this study employs Martin Heidegger’s ontological analysis of death. In survivorship, my participants can thus be understood as being left with the perpetual choice between living in inauthenticity or in authenticity. The difference between the two modes of existence exhibits two diverging ways of relating to death, self, and being-in-the-world. At the same time, the role of death in long-term survivorship reflects back on the magnitude of the initial existential and moral upheaval triggered by the cancer diagnosis. Understanding the role of death in long-term survivorship can positively inform the field of cancer rehabilitation and long-term survivor care.

scholarly journals Effective Intervention across Socioeconomic Classes for Improvement in Language Outcomes

2016 ◽  
Vol 5 (1) ◽  
pp. 179
Author(s):  
Afia Kanwal ◽  
Wasima Shehzad
Keyword(s):  
Language Proficiency ◽  
Engineering Students ◽  
Effective Intervention ◽  
Research Model ◽  
Language Outcomes ◽  
Improvement Rate ◽  
Early Schooling ◽  
The Difference

Students in higher education bring with them a difference of linguistic abilities that is often due to the difference in socioeconomic status and early schooling. The lack of linguistic capacity hampers academic pace and introduces discrepancies in performance of learners. This paper examines the persistence of socioeconomic differences being translated in educational institutes and their influence on language outcomes and it investigates the role of effective intervention through an action research model by Zuber-Skerritt (1992) called CRASP. It is an experimental study based on a sample of 300 engineering students which examines initial and final evaluation of language proficiency through intervention. The tools used to gather data include demographics, language test of writing and speaking skills and sequential assessment. The results showed that intervention is helpful for enhancing language proficiency nonetheless; the improvement rate is nearly negligible and requires a long-term plan to impact early disadvantage of exposure.

scholarly journals Case Report: Clostridium neonatale Bacteremia in a Preterm Neonate With Necrotizing Enterocolitis

2021 ◽  
Vol 9 ◽  
Author(s):  
Nadim Cassir ◽  
Isabelle Grandvuillemin ◽  
Manon Boxberger ◽  
Priscilla Jardot ◽  
Farid Boubred ◽  
...  
Keyword(s):  
Necrotizing Enterocolitis ◽  
Potential Role ◽  
Preterm Neonate ◽  
Gastrointestinal Disorder ◽  
Etiologic Agent ◽  
Preterm Neonates ◽  
Environmental Cleaning ◽  
Life Threatening

Necrotizing enterocolitis is a life-threatening acquired gastrointestinal disorder among preterm neonates and is associated with a high mortality rate and long-term neurodevelopmental morbidity. No etiologic agent has been definitively established; nonetheless, the most implicated bacteria include members of the Clostridium genus. We reported here on a case of Clostridium neonatale bacteremia in a preterm neonate with necrotizing enterocolitis, providing more information regarding the potential role of this bacterium in pathogenesis of necrotizing enterocolitis. We emphasized the sporulating form of C. neonatale that confers resistance to disinfectants usually applied for the hospital environmental cleaning. Further works are needed to establish the causal relationship between the occurrence of NEC and the isolation of C. neonatale, with promising perspectives in terms of diagnostic and therapeutic management.

scholarly journals Hemostatic Changes in Patients with COVID-19: A Meta-Analysis with Meta-Regressions

2020 ◽  
Vol 9 (7) ◽  
pp. 2244 ◽  
Author(s):  
Matteo Nicola Dario Di Minno ◽  
Ilenia Calcaterra ◽  
Roberta Lupoli ◽  
Antonio Storino ◽  
Giorgio Alfredo Spedicato ◽  
...  
Keyword(s):  
Regression Models ◽  
Meta Analysis ◽  
C Reactive Protein ◽  
Long Term Outcomes ◽  
Chronic Disability ◽  
Reactive Protein ◽  
The Difference ◽  
D Dimer

Background: Complications of coronavirus disease 2019 (COVID-19) include coagulopathy. We performed a meta-analysis on the association of COVID-19 severity with changes in hemostatic parameters. Methods: Data on prothrombin time (PT), activated partial thromboplastin time (aPTT), D-Dimer, platelets (PLT), or fibrinogen in severe versus mild COVID-19 patients, and/or in non-survivors to COVID-19 versus survivors were systematically searched. The standardized mean difference (SMD) was calculated. Results: Sixty studies comparing 5487 subjects with severe and 9670 subjects with mild COVID-19 documented higher PT (SMD: 0.41; 95%CI: 0.21, 0.60), D-Dimer (SMD: 0.67; 95%CI: 0.52, 0.82), and fibrinogen values (SMD: 1.84; 95%CI: 1.21, 2.47), with lower PLT count (SMD: −0.74; 95%CI: −1.01, −0.47) among severe patients. Twenty-five studies on 1511 COVID-19 non-survivors and 6287 survivors showed higher PT (SMD: 0.67; 95%CI: 0.39, 0.96) and D-Dimer values (SMD: 3.88; 95%CI: 2.70, 5.07), with lower PLT count (SMD: −0.60, 95%CI: −0.82, −0.38) among non-survivors. Regression models showed that C-reactive protein values were directly correlated with the difference in PT and fibrinogen. Conclusions: Significant hemostatic changes are associated with COVID-19 severity. Considering the risk of fatal complications with residual chronic disability and poor long-term outcomes, further studies should investigate the prognostic role of hemostatic parameters in COVID-19 patients.

Compassion in care: A qualitative study of older people with a chronic disease and nurses

2011 ◽  
Vol 18 (5) ◽  
pp. 672-685 ◽  
Author(s):  
Margreet van der Cingel
Keyword(s):  
Chronic Disease ◽  
Older Persons ◽  
Methodological Issues ◽  
Literature Study ◽  
Term Care ◽  
Outcomes Of Care ◽  
The Difference ◽  
The Relationship ◽  
Depth Interviews

This article describes compassion as perceived within the relationship between nurses and older persons with a chronic disease. The aim of the study is to understand the benefit of compassion for nursing practice within the context of long-term care. The design of the study involves a qualitative analysis of in-depth interviews with nurses and patients in three different care-settings. Results show the nature of compassion in seven dimensions: attentiveness, listening, confronting, involvement, helping, presence and understanding. Analysis of the data also shows in what way opinions of participants relate to issues raised in a previous literature study, for example the difference between pity and compassion. The conclusion states that compassion is a valuable process which motivates patients as well as nurses to cooperate in achieving relevant outcomes of care. The discussion involves some methodological issues. For one thing, further confirmation of the dimensions found is recommended.

scholarly journals Motivation solutions for small and medium-sized enterprises in the Southern Transdanubian Region

2020 ◽  
Vol 14 (3-4) ◽  
pp. 39-46
Author(s):  
Bettina Boldizsár ◽  
Veronika Bardóczky ◽  
Orsolya Szigeti
Keyword(s):  
Employee Training ◽  
Employee Motivation ◽  
Business Practices ◽  
Business Executives ◽  
Motivation Strategy ◽  
Mere Presence ◽  
Short And Long Term ◽  
The Difference

The singularity of human resources and the complex interests in the world of work are a constant challenge for business executives and HR colleagues. While the difference between the performance of a motivated and an unmotivated employee can be up to twice as much at almost the same cost level, the motivation strategy is typically either absent from the business life, or operates on a reactive concept based on an unconscious design. Although the mere presence of motivation and its various levels are less quantifiable in exact terms with direct tools, a performance which is much weaker than possible is measurable in the short and long term, and its negative economic results are clear. The aim of the research is to examine the motivational practices of small and medium-sized enterprises (SMEs) operating in the Southern Transdanubian Region. Involving 300 businesses we evaluated the applied wage system, the role of money among the motivational tools, the extent and causes of fluctuation, the system of employee training, the way of performance evaluation, the reasons for underperformance, the importance of motivation, the company motivation strategy and the efforts to retain the key people. The employee motivation can be increase in several forms, but the priority of needs and claims is constantly changing. Updating this motivational matrix is a real leadership challenge, but this effort can pay off multiple times. According to the results it can be stated that the motivation strategy – as a key economic issue – is not given sufficient attention in business practices.

scholarly journals The role of variety and forecrop in the population dynamics of Rhizoctonia solani in soil

2021 ◽  
Vol 51 (1) ◽  
pp. 25-32
Author(s):  
A. A. Malyuga ◽  
N. S. Chulikova
Keyword(s):  
Population Dynamics ◽  
Rhizoctonia Solani ◽  
Growing Season ◽  
Steppe Zone ◽  
Climatic Conditions ◽  
Forest Steppe ◽  
The Difference ◽  
Two Peaks

Long-term studies (2014–2019) of the population dynamics of the fungus Rhizoctonia solani Küch. were carried out in the soil on the Purple Majesty, Vitelotte and Fioletovy potato varieties and preceding crops (potatoes, oats and tendergreen). The study was carried out in Novosibirsk region in the soil and climatic conditions typical of the forest-steppe zone of Western Siberia. To study the peculiarities of R. solani fungus population dynamics in potato plantations, soil samples were taken from under the plants during the entire growing season. The accumulation of rhizoctonia propagules in the soil was determined using the method of multiple soil pellets. The difference in the amount and rate of accumulation of the fungus R. solani on different varieties, as well as the influence of previous crops on this process, was established. Two peaks of the fungus accumulation were observed on the Purple Majesty variety: the first (48.7 propagules/100 g of soil) – during the full germination period, the second (57.2 propagules/100 g of soil) – at the end of the crop maturation phase. One peak was observed in the population dynamics of the fungus on Vitelotte and Fioletovy varieties, at the end of the ripening period (59.0 and 49.1 propagules/100 g soil, respectively). The smallest amount of R. solani fungus in the soil on average during the growing season was noted on the Fioletovy variety – 33.3 propagules/100 g of soil. In the Purple Majesty and Vitelotte varieties, this figure was 41.5 and 40.4 propagules/100 g of soil, respectively. When potato variety Agata was cultivated as monoculture, there was a rapid and significant accumulation of the fungus R. solani in the soil (from 34.6 to 126.8 propagules/100 g of soil). When this variety was cultivated following tendergreen or oats, the amount of the pathogen varied to a lesser extent (25.1–52.2 and 19.8–41.0 propagules/100 g of soil, respectively). No sharp increases in the number of propagative structures of the phytopathogen in the soil were noted.

scholarly journals Patterns of spatial methane distribution in the upper layers of permafrost in Central Yakutia

2017 ◽  
pp. 105-112
Author(s):  
M. Yu. Cherbunina ◽  
D. G. Shmelev ◽  
A. V. Brouchkov ◽  
V. S. Kazantsev ◽  
R. N. Argunov
Keyword(s):  
Field Studies ◽  
Methane Content ◽  
Central Yakutia ◽  
The Difference ◽  
The Moment ◽  
Methane Distribution ◽  
The Right ◽  
Ice Complex

The article presents the results of long-term field studies of methane in the upper part of permafrost for the different geomorphological levels of Central Yakutia. Patterns of spatial distribution of methane content across different landscapes were found. The highest concentrations of methane are found in alas deposits, the major role of methane in the conservation there goes to the moment of freezing the thermokarst lake draining. The difference in methane content in the sediments of the Late Pleistocene Ice Complex on the left and the right bank of the river Lena was identified. That is likely caused by the conditions of ice complex formation.

Pervasive refusal syndrome in child asylum seekers on Nauru

2020 ◽  
Vol 28 (5) ◽  
pp. 585-588
Author(s):  
Louise Newman ◽  
Beth O’Connor ◽  
Vernon Reynolds ◽  
George Newhouse
Keyword(s):  
Asylum Seekers ◽  
Patient Advocacy ◽  
Social Needs ◽  
Legal Obligations ◽  
Pervasive Refusal Syndrome ◽  
Life Threatening

Objectives: Between 2013 and 2019, an estimated 200 children seeking asylum in Australia were detained on the island of Nauru. In 2018, 15 of these children developed the rare and life-threatening pervasive refusal syndrome (PRS). This paper describes the PRS case cluster, the complexities faced by clinicians managing these cases, and the lessons that can be learned from this outbreak. Conclusions: The emergence of PRS on Nauru highlighted the risks of long-term detention of children in settings that are unable to meet their physical and psycho-social needs. The case cluster also underscored (a) the difficulties faced by doctors working in conditions where their medical and legal obligations may be in direct conflict, and (b) the role of clinicians in patient advocacy.

scholarly journals Primary Care Provider Involvement in Thyroid Cancer Survivorship Care

2020 ◽  
Vol 105 (9) ◽  
pp. e3300-e3306 ◽  
Author(s):  
Archana Radhakrishnan ◽  
David Reyes-Gastelum ◽  
Brittany Gay ◽  
Sarah T Hawley ◽  
Ann S Hamilton ◽  
...  
Keyword(s):  
Primary Care ◽  
Thyroid Cancer ◽  
Cancer Survivorship ◽  
Primary Care Providers ◽  
Survivorship Care ◽  
Care Providers ◽  
High Confidence ◽  
Neck Ultrasound

Abstract Context While prior research has examined how primary care providers (PCPs) can care for breast and colon cancer survivors, little is known about their role in thyroid cancer survivorship. Objective To understand PCP involvement and confidence in thyroid cancer survivorship care. Design/Setting/Participants We surveyed PCPs identified by thyroid cancer patients from the Georgia and LA SEER registries (n = 162, response rate 56%). PCPs reported their involvement in long-term surveillance and confidence in handling survivorship care (role of random thyroglobulin levels and neck ultrasound, and when to end long-term surveillance and refer back to the specialist). We examined: 1) PCP-reported factors associated with involvement using multivariable analyses; and 2) bivariate associations between involvement and confidence in handling survivorship care. Main Outcome Measures PCP involvement (involved vs not involved) and confidence (high vs low). Results Many PCPs (76%) reported being involved in long-term surveillance. Involvement was greater among PCPs who noted clinical guidelines as the most influential source in guiding treatment (OR 4.29; 95% CI, 1.56-11.82). PCPs reporting high confidence in handling survivorship varied by aspects of care: refer patient to specialist (39%), role of neck ultrasound (36%) and random thyroglobulin levels (27%), and end long-term surveillance (14%). PCPs reporting involvement were more likely to report high confidence in discussing the role of random thyroglobulin levels (33.3% vs 7.9% not involved; P < 0.01). Conclusions While PCPs reported being involved in long-term surveillance, gaps remain in their confidence in handling survivorship care. Thyroid cancer survivorship guidelines that delineate PCP roles present one opportunity to increase confidence about their participation.

scholarly journals Transnational gentrification, tourism and the formation of ‘foreign only’ enclaves in Barcelona

Urban Studies ◽  
2020 ◽  
Vol 57 (15) ◽  
pp. 3025-3043 ◽  
Author(s):  
Agustin Cocola-Gant ◽  
Antonio Lopez-Gay
Keyword(s):  
Global Scale ◽  
Division Of Labour ◽  
Transnational Mobility ◽  
Advanced Economies ◽  
Transnational Migrants ◽  
Neighbourhood Change ◽  
The City ◽  
Depth Interviews

In a context of global-scale inequalities and increased middle-class transnational mobility, this paper explores how the arrival of Western European and North American migrants in Barcelona drives a process of gentrification that coexists and overlaps with the development of tourism in the city. Research has focused increasingly on the role of visitors and Airbnb in driving gentrification. However, our aim is to add another layer to the complexity of neighbourhood change in tourist cities by considering the role of migrants from advanced economies as gentrifiers in these neighbourhoods. We combined socio-demographic analysis with in-depth interviews and, from this, we found that: (1) lifestyle opportunities, rather than work, explain why transnational migrants are attracted to Barcelona, resulting in privileged consumers of housing that then displace long-term residents; (2) migrants have become spatially concentrated in tourist enclaves and interact predominantly with other transnational mobile populations; (3) the result is that centrally located neighbourhoods are appropriated by foreigners – both visitors and migrants – who are better positioned in the unequal division of labour, causing locals to feel increasingly excluded from the place. We illustrate that tourism and transnational gentrification spatially coexist and, accordingly, we provide an analysis that integrates both processes to understand how neighbourhood change occurs in areas impacted by tourism. By doing so, the paper offers a fresh reading of how gentrification takes place in a Southern European destination and, furthermore, it provides new insights into the conceptualisation of tourism and lifestyle migration as drivers of gentrification.

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